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If you have known allergies or sensitivities to cobalt, vitamin B12 itself, or any additives commonly found in injection solutions, it is important to inform your provider

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Anaemia: Severe vitamin B12 deficiency can result inmegaloblastic anaemia, which can cause fatigue, shortness of breath and pale skin

Cointervention All pregnant women will also be given folic acid (0.4 mg) for the first 2 months of pregnancy followed by iron (60 mg elemental iron) and calcium supplements (500 mg) until 45 days after delivery according to the WHO guidelines.30 Recruitment procedure, confirmation of pregnancy and assessment of gestational age Prior and throughout the study period, we will identify pregnant mothers through a hospital and community-based surveillance system (figure 1)